Clinical trial Recruiting at 1 site Interventional Ages 17 to 35

Evaluating surgical outcomes for patients with malocclusion using a Surgery First approach and aligners

Official title: Evaluation of Surgical Outcomes of Patients Treated With the Surgery First Approach and Aligners

Run by Rio de Janeiro State University · NCT05822271 · Data updated 2026-11-12

This study is testing whether a Surgery First approach using braces or clear aligners can improve the quality of life and treatment results for patients with a specific type of jaw misalignment.

Quick facts

Study typeInterventional
Ages17 Years to 35 Years
SexAll
Enrollment20 (estimated)
SponsorRio de Janeiro State University
Academic / other
Locations1 site (Rio de Janeiro)
StatusRecruiting
StartedJanuary 30, 2022
Main results expectedAugust 2025
Study endsOctober 2025
Registry record updatedDecember 2, 2024
Trial IDNCT05822271 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults with skeletal malocclusion requiring bimaxillary surgery and specific angular measurements indicating a need for surgical intervention.

Probably not a fit

Patients with previous orthodontic treatment, craniofacial anomalies, or other specific exclusions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective study aims to compare the treatment outcomes and quality of life for skeletal Class III patients who undergo a Surgery First approach using either conventional fixed appliances or aligners. The study will collect data through validated questionnaires, including the Orthognathic Quality of Life Questionnaire and the Oral Health Impact Profile, to assess the impact of the treatment on patients' lives. By analyzing these outcomes, the study seeks to determine the effectiveness of the Surgery First approach in improving both aesthetic and functional results for patients with specific skeletal malocclusions.

Why it matters

Potential benefit: If successful, this study could provide insights into more effective treatment options for patients with skeletal Class III malocclusion, potentially improving their quality of life.

How similar studies have gone: While the Surgery First approach is gaining attention, this specific comparison with aligners is relatively novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults;
* Skeletal malocclusion;
* ANB Angle zero or negative;
* Witts negative;
* Etiology: mandibular excess, a maxillary deficiency, or a combination of both;
* Indication for bimaxillary surgery;

Exclusion Criteria:

* Previous orthodontic treatment;
* Craniofacial anomaly or previous fracture of the facial bones;
* Total edentulism;
* Deep curve of Spee;
* Vertical asymmetry;
* Any medication use that contraindicates surgical treatment.

Where it's running

  • Rio de Janeiro State University
    Rio de Janeiro, Brazil
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.